I Want You to Want Me: Interpersonal Stress and Affective Experiences as Within‐Person Predictors of Nonsuicidal Self‐Injury and Suicide Urges in Daily Life

作者：Sarah E. Victor, Lori N. Scott, Stephanie D. Stepp, Tina R. Goldstein · 发表于：Suicide and Life-Threatening Behavior · 年份：2018 · DOI：10.1111/sltb.12513 · 被引用次数：119 · 研究领域：Suicide and Self-Harm Studies、Personality Disorders and Psychopathology、Gun Ownership and Violence Research

OBJECTIVE: To investigate near-term risk for self-injurious urges, we evaluated how within-person changes in internalizing and externalizing negative affect, as well as interpersonal rejection and criticism, impact subsequent nonsuicidal self-injury (NSSI) and suicide urges in daily life. METHOD: Young adult women (N = 62) from an ongoing community cohort study with past-year self-injurious thoughts completed a 21-day ecological momentary assessment protocol. We used multilevel path analyses to model within-person effects of negative affect and interpersonal stress on subsequent suicide and NSSI urges within several hours. RESULTS: When modeled simultaneously, within-person changes in internalizing, but not externalizing, negative affect predicted later self-injurious urges. Rejection and criticism predicted later self-injurious urges, with rejection showing a unique relationship to NSSI urges specifically. Effects of rejection and criticism on later NSSI and suicide urges were mediated by internalizing negative affect; rejection also retained a significant direct effect on NSSI urges. CONCLUSION: Interpersonal stressors may be potent near-term risk factors for self-injurious urges by increasing internalizing negative affect among vulnerable individuals. The direct role of rejection and criticism on self-injurious urges is less clear, particularly for suicide. These findings have implications for understanding processes underlying self-injurious urges, as well as designing re...